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首页> 外文期刊>Frontiers in Public Health >Community Management of Acute Malnutrition (CMAM) in Odisha, India: A Multi-Stakeholder Perspective
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Community Management of Acute Malnutrition (CMAM) in Odisha, India: A Multi-Stakeholder Perspective

机译：印度奥里萨邦的急性营养不良社区管理：多方利益相关者的观点

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India remains home to nearly one-third of the world's children with severe and acute malnutrition (SAM). The present study looks at the function and implementation of a Community Management of Severe Acute Malnutrition (CMAM) programme for treatment of children with SAM in Odisha, an Indian state. A cross-sectional study design using qualitative techniques with direct observation of process and infrastructure was adopted to explore the views of stakeholders on the programme implementation. The study focuses on Kandhamal, a district in Odisha, and was conducted during June–August, 2015. Of the district and community level stakeholders involved in CMAM programme, 49 were selected as study participants using purposive sampling. In-depth interviews were conducted to obtain relevant information. Data was analyzed using data analysis software, atlas.ti version 7. The analysis demonstrated the overall acceptability, feasibility and economic viability of the programme. Additionally, the study identified several enablers (such as good response from child, village leadership involvement, multisectoral participation etc.) and barriers (such as limited awareness, increased work load, irregular staff payment etc.) linked to programme implementation. Interactions with beneficiaries and stakeholders also provided the real picture on the ground. The study emphasizes the need for stakeholders to work responsibly and in unison, and need for beneficiaries to accept, participate and contribute to the programme. In view of maximum impact, the study recommends that CMAM programmes be implemented with existing primary healthcare facilities. The study also outlines future scope for policy-level interventions and support to ensure sustainability of this healthcare delivery model.
机译：印度仍然是世界上严重和急性营养不良（SAM）儿童的近三分之一。本研究着眼于印度州奥里萨邦的严重急性营养不良社区管理（CMAM）计划的功能和实施，该计划用于治疗患有SAM的儿童。通过使用定性技术对过程和基础结构进行直接观察的横断面研究设计，以探索利益相关者对计划实施的看法。该研究集中于奥里萨邦的一个地区坎德哈马尔，于2015年6月至8月进行。在有意参与CMAM计划的地区和社区级利益相关者中，有49名被选为研究参与者。进行了深入采访以获得相关信息。使用atlas.ti版本7的数据分析软件对数据进行了分析。分析表明了该计划的总体可接受性，可行性和经济可行性。此外，研究还确定了与计划实施相关的几个促成因素（例如孩子的良好反应，村领导的参与，多部门参与等）和障碍（例如意识有限，工作量增加，员工工资不定期等）。与受益人和利益相关者的互动也提供了实际情况。该研究强调，利益相关者必须以负责任的方式一致地开展工作，受益人必须接受，参与并为该计划做出贡献。考虑到最大的影响，该研究建议在现有的主要医疗机构中实施CMAM计划。该研究还概述了政策级干预和支持的未来范围，以确保这种医疗保健提供模式的可持续性。

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